Prehospital
Care for
Chocking
12/29/2024 1
Lecture outline
Introduction
Definition of Chocking
causes of Chocking
First aid for Chocking patient
References
Questions and Comments
12/29/2024 2
Lecture outcome
What is Chocking
Describe difference of Chocking first aid according the age ,Why its
important?
How you do preserve patients with Chocking .
12/29/2024 3
Chocking Definition
Choking is a medical emergency that occurs when a person's
airway becomes blocked, preventing them from breathing. This
blockage can be caused by a foreign object (like food, small
objects, or vomit) or other obstructions that physically block the
windpipe (trachea).
When someone is choking, they are unable to breathe properly,
which can lead to suffocation if the blockage is not cleared
quickly.12/29/2024 4
12/29/2024 5
Choking
Choking is the 4th leading cause of an intentional death
in the U.S.1
Knowing how to help can save a life.
Choking Emergencies
• Choking is a total or partial
obstruction of airway
• Common cause of respiratory arrest
• Immediate care is needed
7-7
Choking Risks
• Over 4,600 people die from choking each year
• Adults over age 65 are twice as likely to die as younger people from
choking
Most cases can be prevented!
7-8
Choking Risks continued
Trying to swallow large pieces of food that haven’t been chewed
sufficiently
Eating too quickly
Eating while engaged in other activities
Alcohol or drugs often involved
Dentures increase risk
History of stroke
7-9
12/29/2024 10
Mild Choking
The person may be able to speak, cough, or
breathe, but they may show signs of discomfort or
panic.
• Victim is getting some air
• Do not interrupt coughing or attempts to expel
object
7-11
Severe Choking
The person cannot speak, cough, or breathe. They may clutch
their throat, turn blue (cyanotic), and show signs of distress.
Victim getting little air or none
Victim may look frantic and be clutching at throat (universal
sign of choking)
Victim may be coughing weakly and silently or not at all
7-12
Choking Care
(Responsive Adult or Child)
Responsive choking victim who is coughing:
Encourage coughing to clear object
Call 122 if object not immediately expelled
Responsive choking victim who cannot speak or cough forcefully:
Give abdominal thrusts
If choking victim becomes unresponsive, immediately call 122
Begin CPR with chest compressions
7-13
Care for Choking
Adults and Children
1. Stand behind the victim with one leg forward between the
victim’s legs. Keep your head slightly to one side and
reach around the abdomen.
[Link] a fist with one hand and grasp it with the other
(thumb side into abdomen) just above the navel.
Care for Choking
Adults and Children
[Link] inward and upward into the abdomen with quick jerks.
Continue until the victim expels the object or becomes unresponsive.
[Link] a responsive pregnant victim, or any victim you cannot get your arms
around, give chest thrusts.
12/29/2024 15
Helping a responsive adult or child
victim…
When you see a responsive adult or child victim
• Coughing, wheezing, having difficulty breathing
• Clutching at the throat
• Pale or bluish in coloring around mouth and nail beds
Do this first:
- If coughing, encourage continued coughing to clear the object.
- If not coughing, ask if the victim is choking or can speak. If not, get
victim’s consent to help and give abdominal thrusts.
If the victim becomes unresponsive - call or
have someone call 122. Then provide CPR,
beginning with chest compressions. Check mouth
for object before giving breaths.
Self-Treating Choking
If you are alone when choking, give
yourself abdominal thrusts to try to
expel the object.
Lean over and push your abdomen
against the back of a chair, table or other
firm object.
Care for Choking Infants
1. If a choking infant can cry or cough, watch carefully to see if the
object comes out.
2. If the infant cannot cry or cough, follow the steps for back slaps
and chest thrusts. (See next slide)
3. If the infant becomes unresponsive, send someone to call 122, and
give CPR. Check for an object in the mouth before you give a
breath, and remove any object you see.
Choking in an Infant
• 1. Support the infant’s head in one hand, with the torso
on your forearm and your thigh. Give up to 5 back slaps
between the shoulder blades.
12/29/2024 19
Choking in an Infant
3. With other hand on back of infant’s head, roll the infant face up. Place
two fingers on breastbone just below nipple line. Give up to 5 chest
thrusts with middle and ring fingers. Check mouth for expelled object.
5 Chest thrusts
Repeat above steps, alternating back slaps and chest thrusts and
checking the mouth. Continue until the object is expelled or the infant
becomes unresponsive.
If the infant becomes unresponsive, call or have someone call 122, then
give CPR. Check mouth for object before giving breaths.
12/29/2024 21
Responsive to Unresponsive
• If complete airway obstruction not cleared, victim will become
unresponsive in minutes
• Quickly and carefully lower victim to floor on back
• Begin CPR with 30 chest compressions
• Check for object in mouth each time you open it to give rescue breaths
Heimlich Maneuver(Abdominal Thrusts)
12/29/2024 23
Summary
12/29/2024 24
References
• Standard First Aid/AED Review ECC Guidelines 2010. (n.d.). Retrieved
February 16, 2015, from [Link]
• What is CPR. (n.d.). Retrieved February 16, 2015, from
[Link] -is-
CPR_UCM_001120_SubHomePage.jsp
Any question
12/29/2024 26